SMITH RANCH SKILLED NURSING & REHABILITATION CENTE
1550 SILVEIRA PARKWAY, San Rafael, CA 94903
Based on 2026 CMS Data
Official Government Ratings
Health Inspections
Frequency & severity of deficiencies
Staffing Levels
Nurse hours per resident per day
Quality Measures
Clinical outcomes & care quality
Resident Council Active
Active councils indicate resident empowerment and facility transparency.
Vetting This Facility? Get Answers They Don't Volunteer
Free guide: the exact questions to ask SMITH RANCH SKILLED NURSING & REHABILITATION CENTE, how to pull the public records (ownership, inspections, penalties), and how to request the info that isn't online — like the medical director.
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Care Quality Indicators
Lower is better
Lower is better
Lower is better
Lower is better
How SMITH RANCH SKILLED NURSING & REHABILITATION CENTE Compares
SMITH RANCH SKILLED NURSING & REHABILITATION CENTE is a 80-bed for-profit nursing facility in San Rafael, California. It holds an overall CMS rating of 3 out of 5 stars, roughly in line with the California average of 3.2 stars. Its strongest area is quality measures (5 stars), while health inspections (2 stars) is its weakest. Its rate of long-stay antipsychotic medication use (7.8%) is below the California average of 12.1%, a favorable sign for resident care. With 80 certified beds, it operates near capacity at roughly 93% occupied.
Among the 7 nursing facilities ElderVoice tracks in San Rafael, 2 hold a 5-star rating and the local average is 3.1 stars.
By the numbers vs. California average
- Long-stay antipsychotic medication use: 7.8% — better than the California average of 12.1% (35% lower).
- Falls with major injury: 2.0% — worse than the California average of 1.6%.
- High-risk pressure ulcers: 3.6% — better than the California average of 4.3%.
- Short-stay rehospitalization: 25.0% — worse than the California average of 22.9%.
Comparisons use CMS Care Compare data (updated September 5, 2026) measured against California averages across 1165 facilities tracked by ElderVoice.
Questions to Ask SMITH RANCH SKILLED NURSING & REHABILITATION CENTE
Use these facility-specific questions when calling admissions, touring the building, or comparing SMITH RANCH SKILLED NURSING & REHABILITATION CENTE with other nursing homes in San Rafael.
How is SMITH RANCH SKILLED NURSING & REHABILITATION CENTE addressing its health inspections rating?
CMS currently rates this category 2 out of 5 stars, so ask what specific improvements are underway and when the next survey update is expected.
What practices help SMITH RANCH SKILLED NURSING & REHABILITATION CENTE keep long-stay antipsychotic medication use below the state average?
Long-stay antipsychotic medication use is 7.8% here versus 12.1% across California. Lower is generally better for this CMS measure.
What is SMITH RANCH SKILLED NURSING & REHABILITATION CENTE doing to reduce falls with major injury?
Falls with major injury is 2.0% here versus 1.6% across California. Lower is generally better for this CMS measure.
How does SMITH RANCH SKILLED NURSING & REHABILITATION CENTE maintain staffing when occupancy is high?
The facility reports roughly 93% occupancy across 80 certified beds, so ask how staffing is adjusted during full census periods.
How can a new family connect with existing councils at SMITH RANCH SKILLED NURSING & REHABILITATION CENTE?
Active resident or family councils can provide useful context about daily life, responsiveness, and recurring concerns.
What would the first 30 days look like for a new resident at SMITH RANCH SKILLED NURSING & REHABILITATION CENTE?
Ask who builds the care plan, how medication changes are communicated, how often families receive updates, and who to call after hours.
The Senior Community Around San Rafael
San Rafael sits in Marin County, where adults 65 and older make up about 22.3% of the population — a higher share of seniors than California as a whole (14.3% statewide). The area's median household income is higher than the state average, reflecting a higher cost of living.
- Residents 65+
- 57,834 (22.3%)
- Median age
- 47.1 years
- Median household income
- $121,671
- Median home value
- $1,053,600
Demographics for Marin County from the U.S. Census Bureau, American Community Survey (ACS) 5-year estimates. Provided as local context for families comparing care options near San Rafael.
Facility Details
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